Perinatal, Outcome , High Risk ,Pregnancies,Stillbirth,Pre-Term,Post-Term

Abstract

This is a prospective and descriptive hospital based study aiming to study the association between the sociodemographic and reproductive profiles of mothers of high-risk pregnancy to pregnancy out come. A total of 400 maternity patients, identified as having high-risk pregnancy and their pregnancy outcome, in (OMH) and (SUH) were studied. The objectives of this study were to determine the perinatal mortality and to assess the perinatal morbidity of fetuses of highrisk mothers, to study the effect of current obstetrical intervention on perinatal mortality and morbidity of fetuses of high- risk mothers and to assess the admission to NICU among neonates of high–risk pregnancies. Sample size was taken as 1:6 SUH to OMH according to the delivery rate in each hospitals/year (in SUH= 3,000 vs. OMH 18,000 delivery). Mothers were identified during labour or soon before delivery, delivery was attended and a questionnaire on mother and newborn was completed with follow up till day 6. The outcome was 92%, 88.2% were live births in OMH and SUH respectively, while perinatal deaths were 8 newborns in SUH compared to 28 newborns in OMH and overall PMR of 117.6/1000 births in SUH to 79.8/1000 births in OMH. Adverse effects of previous pregnancy affect on the outcome of the current pregnancy, such as history of four or more pervious stillbirths carried 100% chance of the current pregnancy to be stillbirth. Antenatal care users were half of the mothers and 75% of the mothers received tetanus toxoids. The main maternal illnesses associated with perinatal losses were APH, PIH and anaemia. Multiple gestation and breech presentation carried high risk for both mothers and babies, while foetal distress and prematurity were the main foetal causes of perinatal losses. Type of delivery and obstetrical intervention were selected according to the risk factor, although C/S was the major type of delivery in this study. Admission to NICU was appropriate and according to the need of the newborn (19.8%). Majority of the newborns completed their first week of life without complications (75.8%), while 8.4% developed neonatal sepsis and 6.9% developed neonatal jaundice.